Kimberly Gloria Watts, OTR/L
Individual provider Active NPI Occupational Therapist · Colfax, WI
NPI 1396972923 · NPPES record last updated Jun 22, 2009
Key facts
- NPI
- 1396972923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3813-26 (WI)
- Practice address
- 1011 University Ave
Colfax, WI 54730 - Phone
- (715) 962-3186
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3813-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3813-26 | WI | Yes |
Addresses
Primary practice location
1011 University Ave
Colfax, WI 54730
Mailing address
2628 14TH St
Eau Claire, WI 54703-2621
Phone (715) 828-4425
Other providers in Colfax, WI
- Margaret Catherine Sills
- Diana M Stafford
- Lyndsey Uetz
- Village of Colfax
- Erika Vosters
- Michael Paul Werner
All providers in Colfax, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.